Parachute mitral valve: Morphologic descriptors, associated lesions, and outcomes after biventricular repair Bradley S. Marino, MD, MPP, MSCE, FACC,

Slides:

Advertisements

Similar presentations

Operative outcomes in mitral valve surgery: Combined effect of surgeon and hospital volume in a population-based analysis Arman Kilic, MD, Ashish S.

Advertisements

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Can papillary muscle interventions improve mitral valve repair durability for ischemic mitral regurgitation? Christos G. Mihos, DO, Orlando Santana,

Two decades of pediatric lung transplant in the United States: Have we improved? Farhan Zafar, MD, Jeffrey S. Heinle, MD, Marc G. Schecter, MD, Joseph.

Is individualized mitral valve repair in the future?

Lindsay S. Rogers, MD, Amy L. Peterson, MD, J

Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: A multicenter comparative trial

Mitral stenosis with pulmonary hypertension: We should operate early

Novel mechanism of mitral regurgitation after lung transplantation in a patient with scleroderma and pulmonary hypertension Christian A. Bermudez, MD,

Endoscopic Robotic Mitral Valve Surgery

Matteo Trezzi, MD, Scott M. Bradley, MD, Andrew J. Savage, MD, Minoo N

Pulmonary hypertension in valve disease: A beast of the past?

Marc R. Moon, MD The Journal of Thoracic and Cardiovascular Surgery

Reoperative “valve-in-valve” transapical transcatheter mitral valve replacement in a high-risk patient with a recent transapical transcatheter aortic.

A new approach: Ischemic mitral regurgitation guidelines by and for surgeons Patrick M. McCarthy, MD The Journal of Thoracic and Cardiovascular Surgery

Acute mitral regurgitation caused by papillary muscle rupture in the immediate postpartum period revealing Ehlers-Danlos syndrome type IV Pascal Sève,

Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery Vincent Chan, MD, MPH, Thierry.

It is still mostly about the mitral valve

Bicuspid aortic valve aortopathy: One size fits all?

Surgeons, valve repair in severely unbalanced atrioventricular septal defect, and the emperor's new clothes David M. Overman, MD The Journal of Thoracic.

Bigger The Journal of Thoracic and Cardiovascular Surgery

Recurrence of mitral regurgitation after partial versus complete mitral valve ring annuloplasty for functional mitral regurgitation Michael H. Kwon,

Is individualized mitral valve repair in the future?

The variability of the mitral valve anatomy and terminology

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

A near 100% repair rate for mitral valve prolapse is achievable in a reference center: Implications for future guidelines Javier G. Castillo, MD, Anelechi.

Support Your Specialty

Quality of mitral valve surgery at the United States Department of Veterans Affairs Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Intermediate-term results of a nonresectional dynamic repair technique in 662 patients with mitral valve prolapse and mitral regurgitation Gerald M.

Petra W. Oosthoek, PhDa, Arnold C. G. Wenink, MD, PhDa, António J

The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair Rakesh M. Suri,

Minimally invasive papillary muscle sling placement during mitral valve repair in patients with functional mitral regurgitation Orlando Santana, MD,

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Sinus of Valsalva aneurysms: Stabilizing the repair destabilizing the aortic valve? M. Sertaç Çiçek, MD, FACC The Journal of Thoracic and Cardiovascular.

Niv Ad, MD, Lawrence M. Wei, MD

Replicating the success of mitral valve repair in the aortic valve

Attachment disorder in thoracoabdominal surgery

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Sutureless valve implantation: Every detail counts

Impact of antibodies against human leukocyte antigens on long-term outcome in pediatric heart transplant patients: An analysis of the United Network for.

Patients with unbalanced atrioventricular canal defects can undergo the Fontan operation with good outcomes Sitaram M. Emani, MD The Journal of Thoracic.

Warfarin or aspirin after mitral valve repair: Why work harder?

Long-term outcomes of artificial chordal replacement with tourniquet technique in mitral valve repair: A single-center experience of 700 cases Minoru.

First nights, the adrenal axis, and steroids

Mitral repair failures are not the robot's fault!

Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

The future of cardiac surgery training: A survival guide

Risk factors for interstage death after stage 1 reconstruction of hypoplastic left heart syndrome and variants David A. Hehir, MD, Troy E. Dominguez,

Surgical repair of congenital mitral valve malformations in infancy and childhood: A single-center 36-year experience Giovanni Stellin, MD, Massimo A.

Another case of underprovision of mitral valve repair surgery: Lessons from the Veterans Affairs health system Anelechi C. Anyanwu, MD, David H. Adams,

Tricuspid annulus diameter does not predict the development of tricuspid regurgitation after mitral valve repair for mitral regurgitation due to degenerative.

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

“The more things change…”: The challenges ahead

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Surgical reconstruction techniques for mitral valve insufficiency from lesions with restricted leaflet motion in infants and children Eva Maria Delmo.

Francesco Nappi, MD, Cristiano Spadaccio, MD, PhD

Preoperative PFTs: The answer is blowing in the wind

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Geometric distortion of the mitral valve apparatus in ischemic mitral regurgitation: Should we really forfeit the opportunity for a complete repair?

Left atrial to left ventricle bypass for mitral valve stenosis

Surgery for secondary tricuspid regurgitation: Rings, bands, or sutures, does it matter? Manuel J. Antunes, MD The Journal of Thoracic and Cardiovascular.

Carl L. Backer, MD, Bradley S. Marino, MD, MPP, MSCE

The papillary muscle sling for ischemic mitral regurgitation

Journal changes and initiatives

Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Marc Gillinov, MD, Per Wierup, MD, PhD, Stephanie Mick, MD

Presentation transcript:

Parachute mitral valve: Morphologic descriptors, associated lesions, and outcomes after biventricular repair Bradley S. Marino, MD, MPP, MSCE, FACC, Lydia E. Kruge, BA, Catherine J. Cho, MD, Ryan S. Tomlinson, BSE, David Shera, ScD, Paul M. Weinberg, MD, FACC, J. William Gaynor, MD, Jack Rychik, MD, FACC The Journal of Thoracic and Cardiovascular Surgery Volume 137, Issue 2, Pages 385-393.e4 (February 2009) DOI: 10.1016/j.jtcvs.2008.09.016 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Mitral valve anatomy. Schematic drawings of true parachute mitral valve, with all chordae attached to a single papillary muscle (A); parachutelike asymmetric mitral valve, with chordae attached to two papillary muscles, one being elongated and displaced toward mitral valve annulus (B); and normal mitral valve, with chordae distributed equally between two distinct papillary muscles (C). Reproduced with permission from: Oosthoek PW, Wenink AC, Macedo AJ, Gittenberger-de Groot AC. The parachute-like asymmetric mitral valve and its two papillary muscles. J Thorac Cardiovasc Surg. 1997;114:9-15. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 385-393.e4DOI: (10.1016/j.jtcvs.2008.09.016) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Mitral stenosis and mitral regurgitation at initial and most recent echocardiograms in patients with biventricular circulation. Percentages of patients in biventricular cohort with mitral stenosis and mitral regurgitation at initial and most recent echocardiogram. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 385-393.e4DOI: (10.1016/j.jtcvs.2008.09.016) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan–Meier survival curves. Freedoms from mortality for entire biventricular cohort (A), and stratified for parachute mitral valve type (B) and presence of conotruncal anomaly (C). The Journal of Thoracic and Cardiovascular Surgery 2009 137, 385-393.e4DOI: (10.1016/j.jtcvs.2008.09.016) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Progression of mitral stenosis in patients with biventricular circulation. Mitral stenosis status at initial and most recent echocardiogram (Echo). The Journal of Thoracic and Cardiovascular Surgery 2009 137, 385-393.e4DOI: (10.1016/j.jtcvs.2008.09.016) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Progression of mitral regurgitation in patients with biventricular circulation. Mitral regurgitation status at initial and most recent echocardiogram (Echo). The Journal of Thoracic and Cardiovascular Surgery 2009 137, 385-393.e4DOI: (10.1016/j.jtcvs.2008.09.016) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions